Mickey,
Is it your opinion that Dr. Ron Shapiro, Dr. Rahal, Dr. Epstein, Dr. Keene and Dr. Wong are not competent enough to perform an FUE procedure if it is in fact the best option? That is a strong statement and I would like to hear their reps comments on this. All of these surgeons (with the exception of Dr. Epstein) are coalition members and all of them perform both FUT and FUE on a regular basis. Dr. Epstein performs more eyebrow transplants than any other surgeon I have come across (4-5 per week) and he has used both methods and prefers FUT because of the higher growth rate. Dr, Shapiro offers two types of FUE procedures at his clinic (manual FUE and ARTAS Robotic FUE) so I think it's unfair to say that he is not a *true* leader in FUE. It is my understanding that FUE was developed specifically due to the advantage of no linear scar in patients who want to wear their hair short in the future. This does not apply to me as I have very long hair. All of these surgeons and coalition members recommend FUT over FUE for my eyebrow transplant for the following reasons:
1) Extraction - FUE would require me to shave a patch of my hair, whereas FUT will not. Even if I were to shave a more inconspicuous patch behind my ears, it would still be very visible when I wear my hair up. This would probably not be a huge concern for someone with short hair, but for someone with long hair, it would take a long time to grow back.
2) Scar - Yes FUT will leave a small linear scar but because they will only be harvesting 500 grafts, the scar will be very small and completely hidden underneath my hair. Because I never intend to wear my hair short, the scar is not a concern for me. FUE, on the other hand, even when performed by a top surgeon, has the risk of leaving spotty scarring. Every person heals differently and there is no way to predict if it will scar. I would rather have a small linear scar that can be hidden under my hair then a bunch of spotty scarring on the back of my neck or all over my legs that will be very visible.
3) Survival rate - All of the above surgeons (who perform both FUT and FUE) contend that FUT has a better survival rate. Grafts harvested with FUE are finer with less tissue protection and therefore more susceptible to trauma, and there is a potential for less yield.
I am not advocating FUT over FUE, I am simply stating that I was told I am not the best candidate for FUE because of the reasons I listed above. I think it is misleading to make blanket statements such as "FUE is best for eyebrows" when that may not be the case for everyone. I have seen some excellent results with FUE for eyebrows, but I have also seen excellent results with FUT and I don't think anyone should be discouraging people from listening to the advice of top surgeons in the field, even if their opinion may different from yours - they are the experts for a reason.